<div class="widget">
    <div class="widgetTitle">
        <h3><?= $title; ?> - <?= $step; ?></h3>
    </div>

    <div class="widgetContent bottom-border">
        <div class="row nomargin">
            <div class="col-md-12 col-sm-12 col-xs-12">
                <p class="block text-muted clearfix">
                    Please provide correct information of your Business and Services, we have full right to delete your
                    post anytime without prior intimation.
                </p>

                <?php if(Session::get('message')){?>
                    <p class="block">
                        <span class="text-danger"><?= Session::get('message');?></span>
                    </p>
                <?php }?>



                <form class="" method="post" action="<?= URL::current();?>" accept-charset="<?= Settings::get('en','charecter_set');?>"  enctype='multipart/form-data'>

                    <legend>Contact Information
                        <div class="help">Contact information of your business i.e Phone, Fax, Email etc</div>
                    </legend>
                    <div class="form-group clearfix">
                        <div class="col-lg-6">
                            <label>Contact No <small class="text-muted">(Primary)</small><span class="text-red"> *</span> </label>
                            <input type="text" class="field" placeholder="Primary Contact No" name="phone1" value="<?= Input::old('phone1'); ?>">
                            <div class="text-red small"><?php echo $errors->first('phone1') ?></div>
                        </div>
                        <div class="col-lg-6">
                            <label>Contact No <small class="text-muted">(Additional)</small></label>
                            <input type="text" class="field" placeholder="Contact no (Additional)" name="phone2">
                        </div>
                    </div>

                    <div class="form-group clearfix">
                        <div class="col-lg-6">
                            <label>Email <span class="text-red"> *</span></label>
                            <input type="text" class="field" placeholder="Email" name="email" value="<?= Input::old('email'); ?>">
                            <div class="text-red small"><?php echo $errors->first('email') ?></div>
                        </div>
                        <div class="col-lg-6">
                            <label>Website</label>
                            <input type="text" class="field" placeholder="http://" name="website">
                            <div class="text-red small"><?php echo $errors->first('website') ?></div>
                        </div>
                    </div>

                    <div class="form-group clearfix">
                        <div class="col-lg-6">
                            <label>Fax</label>
                            <input type="text" class="field" placeholder="Fax" name="fax">
                        </div>
                        <div class="col-lg-6">
                            <label>Toll Free</label>
                            <input type="text" class="field" placeholder="Toll Free" name="tollfree">
                        </div>
                    </div>

                    <legend>Contact Persons:
                    <div class="help">List of Contact persons, to whome visitor can contact for further informations.</div>
                    </legend>
                    <div class="form-group clearfix">
                        <div class="col-lg-6">
                            <label>Name</label>
                            <input type="text" name="contact_name" class="field" placeholder="Contact Persona (1)" value="">
                        </div>
                        <div class="col-lg-6">
                            <label>Contact No</label>
                            <input type="text" name="contact_no" class="field" placeholder="Contact No (1)" value="">
                        </div>
                    </div>

                    <div class="form-group clearfix">
                        <div class="col-lg-6">
                            <label>Name</label>
                            <input type="text" name="contact_name2" class="field" placeholder="Contact Person (2)" value="">
                        </div>
                        <div class="col-lg-6">
                            <label>Contact No</label>
                            <input type="text" name="contact_no2" class="field" placeholder="Contact No (2)" value="">
                        </div>
                    </div>




                    <legend>Abount your Business <span class="text-red"> *</span>
                        <div class="help">Write brief description about your business and services.</div>
                    </legend>
                    <div class="text-red small"><?php echo $errors->first('description') ?></div>
                    <div class="form-group clearfix">
                        <textarea class="field form-control" rows="10" name="description"><?= Input::old('description'); ?></textarea>
                        
                    </div>

                    <legend>Product and Services
                        <div class="help">The Product or Services of your business deals.</div>
                    </legend>
                    <div class="form-group clearfix">
                        <textarea class="field form-control" rows="5" name="services"></textarea>
                    </div>

                    <legend>Logo
                        <div class="help">Upload your business logo</div>
                    </legend>
                    <div class="form-group clearfix">
                        <div class="col-lg-6">
                          
                            <input class="btn" name="image" type="file">
                        </div>
                        <div class="col-lg-2">
                          
                        <img
                    src="<?= Url::base(); ?>/storage/uploads/logos/no-logo.jpg"
                    title="Business Logo">
                </div>
                    </div>
                    
                    
                    <div class="form-group widget-footer">
                        <div class="col-sm-12">
                            <button type="submit" class="btn btn-danger">Submit</button>
                        </div>

                    </div>
                </form>

            </div>
        </div>
    </div>
</div>